An assessment of inter-rater agreement of the literature filtering process in the development of evidence-based dietary guidelines

OBJECTIVE: To determine whether the literature filtering process, a vital initial component of a systematic literature review, could be successfully completed by nutrition professionals or non-professionals. DESIGN: Using a diet-disease relationship as the guideline topic, inter-rater agreement for the title and abstract filtering processes between and among professionals and non-professionals was assessed and compared with an expert reference standard. Predetermined eligibility criteria were applied by all raters to 185 titles and 90 abstracts. Filtering decisions were initially made independently and then revised after a within-pair consensus meeting. SUBJECTS: The raters were six dietitians (RD) and six nutrition graduate students (Grad). To assess inter-rater agreement (reliability), each group was divided into three pairs. RESULTS: Weighted and unweighted kappa statistics and percentage agreement were calculated to determine the inter-rater agreement within pairs. Sensitivity and specificity estimates were determined by comparing responses with those of an expert reference standard. Overall, Grad pairs demonstrated greater inter-rater agreement than RD pairs for title filtering (P<0.05); no differences were observed for abstract filtering. Compared with the expert reference standard, every rater and pair had false-negative responses for both title and abstract filtering. CONCLUSIONS: After consensus meetings, both RDs and Grads were comparable in their agreement on title and abstract filtering, although important differences remained compared with the expert reference standard. This study provides preliminary findings on the value of utilising a non-expert pair in developing guidelines, and suggests that the literature filtering process is complex and quite subjective.     

Do frugivorous birds assist rainforest succession in weed dominated oldfield regrowth of subtropical Australia?

Exotic plants often form the first woody vegetation that grows on abandoned farmland. If this vegetation attracts vertebrate frugivores which disperse the seeds of native plants, then native plants may recruit to such oldfield sites. However, there is debate about the extent to which exotic vegetation assists or suppresses the regeneration of native plants, and about its effects on faunal biodiversity. These issues were investigated in subtropical eastern Australia, where rainforests were cleared for agriculture in the 19th century, and where regrowth dominated by camphor laurel (Cinnamomum camphora, an exotic, fleshy-fruited tree) has become common on former agricultural land. The study assessed the assemblages of frugivorous birds, and the recruitment of rainforest plants, at 24 patches of camphor laurel regrowth. The patches were used by nearly all frugivorous birds associated with subtropical rainforest. Many of these birds (16 of 34 species) are considered to have a medium to high potential to disperse the seeds of rainforest plants, and eight of these were abundant and widespread in regrowth patches. Of 208 recorded plant species, 181 were native to local rainforest. The ratio of native to exotic species was higher amongst tree recruits than adult trees, both for numbers of species and individuals. Among native tree recruits, 79% of 75 species, and 93% of 1928 individuals, were potentially dispersed by birds. These recruits included many late-successional species, and there were relatively more individuals of late-successional, bird-dispersed native species amongst recruits than adult trees. The species richness, but not the abundance, of both frugivorous birds and of bird-dispersed rainforest trees decreased with distance from major rainforest remnants. Camphor laurel regrowth provides habitat for rainforest birds and creates conditions suitable for the regeneration of native rainforest plants on abandoned farmland. Careful management of regrowth dominated by fleshy-fruited exotic invasive trees can provide an opportunity for broadscale reforestation in extensively-cleared landscapes.     

Resveratrol in raw and baked blueberries and bilberries

Resveratrol in the fruits of bilberry (Vaccinium myrtillus L.), the lowbush "wild" blueberry (Vaccinium angustifolium Aiton), the rabbiteye blueberry (Vaccinium ashei Reade), and the highbush blueberry (Vaccinium corymbosum L.) were measured using a new assay based on high-performance liquid chromatography-tandem mass spectrometry (LC-MS/MS). The LC-MS/MS assay provided lower limits of detection than previous methods for resveratrol measurement, 90 fmol of trans-resveratrol injected on-column, and a linear standard curve spanning >3 orders of magnitude. The recoveries of resveratrol from blueberries spiked with 1.8, 3.6, or 36 ng/g were 91.5 +/- 4.5, 95.6 +/- 6.5, and 88.0 +/- 3.6%, respectively. trans-Resveratrol but not cis-resveratrol was detected in both blueberry and bilberry samples. The highest levels of trans-resvertatrol in these specimens were 140.0 +/- 29.9 pmol/g in highbush blueberries from Michigan and 71.0 +/- 15.0 pmol/g in bilberries from Poland. However, considerable regional variation was observed; highbush blueberries from British Columbia contained no detectable resveratrol. Because blueberries and bilberries are often consumed after cooking, the effect of baking on resveratrol content was investigated. After 18 min of heating at 190 degrees C, between 17 and 46% of the resveratrol had degraded in the various Vaccinium species. Therefore, the resveratrol content of baked or heat-processed blueberries or bilberries should be expected to be lower than in the raw fruit. Although blueberries and bilberries were found to contain resveratrol, the level of this chemoprotective compound in these fruits was <10% that reported for grapes. Furthermore, cooking or heat processing of these berries will contribute to the degradation of resveratrol.     

Bioaccumulation of melamine in catfish muscle following continuous, low-dose, oral administration

In this study, catfish muscle was analyzed for melamine (MEL) and cyanuric acid (CYA) residues following experimental feeding with low doses of MEL and MEL and CYA (MEL+CYA) and with the insoluble melamine-cyanurate complex (MEL=CYA). Catfish were daily fed 0.1 mg/kg BW of MEL for 15, 28, or 42 days, 0.1 mg/kg BW of MEL+CYA for 28 days, 2.5 mg/kg BW of MEL+CYA for 14 days, or 400 mg/kg BW of MEL=CYA for 3 days. Residues in the tissue were determined by LC-MS/MS. MEL was extracted with acidic acetonitrile, followed by defatting with dichloromethane, and isolated with cation exchange solid phase extraction (SPE). For CYA analysis, fish were extracted with dilute acetic acid, defatted with hexane, and cleaned up with a graphitic carbon SPE. Catfish fed 0.1 mg/kg BW of MEL reached a maximum muscle residue concentration of 0.33 ± 0.04 mg/kg (ppm) after 28 days of continuous feeding. The same concentration was found for MEL+CYA feeding at the 0.1 mg/kg BW level for 28 days. Feeding at 2.5 mg/kg BW of MEL+CYA yielded muscle concentrations above the 2.5 mg/kg level of concern for most of the study fish. Finally, catfish fed high levels of the MEL=CYA complex (400 mg/kg BW) accumulated relatively little MEL in the muscle (0.14 ± 0.07 mg/kg) and, unlike treatment with MEL+CYA, did not form renal melamine-cyanurate crystals. Appreciable concentrations of CYA were not detected in any of the muscles tested. These studies provide data to model the bioaccumulation of triazine residues into edible fish tissue as a result of the continuous consumption of adulterated feed.     

Dissipation of the herbicide benzofenap (Taipan 300) in a rice field ecosystem

The fate of benzofenap [2-[4-(2,4-dicholoro-m-toluoyl)-1,3-dimethylpyrazol-5-yloxy]-4'-methylacetophenone] applied to flooded rice was studied at two locations in New South Wales (Australia). Solid-phase extraction (SPE) was compared with liquid-liquid extraction (LLE) for the determination of the commercial chemical in water samples. SPE performed well as compared to LLE (84 vs 80%) in irrigation waters. However, at the lower end of the concentration range (3 microg/L), LLE achieved higher recoveries than SPE (72 vs 59%). Rates of dissipation (DT50) from floodwaters and soils were measured. Dissipation of the herbicide from water and soil occurred fairly erratically in both mediums and can be best explained by a first-order decay process. The DT50 value for benzofenap was <1 day in irrigation water due to rapid deposition of the suspension concentrate formulation. The DT50 in surface soil was 44 days. The maximum measured concentration of benzofenap in a rice field floodwater was 39 microg/L, taking approximately 32 days to dissipate to <1 microg/L.     

The impact of a community-based food skills intervention on cooking confidence, food preparation methods and dietary choices - an exploratory trial

OBJECTIVE: To evaluate the feasibility of undertaking a food skills intervention study in areas of social deprivation aimed at altering cooking confidence, food preparation methods and dietary choices. DESIGN: A standardised skills programme was implemented in community-based settings. Pre- (T1) and post-intervention (T2) and 6-month follow-up (T3) measures (7-day diaries and self-administered questionnaires) were undertaken in intervention and comparison groups. SETTING: Eight urban communities in Scotland. SUBJECTS: One hundred and thirteen adults living in areas of social deprivation. RESULTS: It was clear that many subjects led fragmented lives and found commitment to intervention classes problematic. Sixty-three subjects completed the final (T3) assessments. The response to each component varied due to inability to attend sessions, illness, study requirements, employment, moving out of the area, change in circumstances, loss of interest and loss of postal questionnaires. At baseline, reported consumption of fruit and vegetables was low (mean frequency 8.1 +/- 4.78 times per week). Fruit intake increased significantly (P < 0.05) between T1 and T2 in the intervention group (1.7 +/- 2.36 to 2.7 +/- 3.28 times per week) only. Between T1 and T3, there was a significant increase (P < 0.05) in intervention subjects who reported confidence in following a recipe (67-90%,). CONCLUSIONS: This exploratory trial shows that a food skills intervention is likely to have a small but positive effect on food choice and confidence in food preparation. A full-scale randomised controlled trial in this hard-to-reach group would require a range of flexible approaches rather than a fully defined intervention, and presents challenges for trial design.     

Recent Developments in Microbiotesting and Early Millennium Prospects

Small-scale toxicity testing with microbiotests is a rapidly-expanding component of the field of aquatic toxicology which contributes diverse contamination assessment tools and approaches for a variety of environmental (liquid and solid) media. In this short review on microbiotesting, some of the recent developments conducted under the second St. Lawrence River Action Plan (1993–1998) at the St. Lawrence Centre (Environment Canada, Quebec Region, Montreal) are recalled. These include 1) employing the SOS Chromotest to determine the genotoxic status of major industrial effluents discharging to the St. Lawrence River and their potential impact on downstream biota, 2) developing an algal solid phase assay to predict the toxic potential of freshwater sediments, 3) developing a microplate-based cnidarian assay to screen for toxicity of chemicals and environmental samples, 4) developing an alternative assay to whole fish acute (sub)lethal toxicity testing with the help of rainbow trout primary hepatocytes, 5) developing a microplate-based phagocytosis assay to check for immunocompetence of feral bivalve shellfish and 6) conducting a major investigation to develop a cost-effective multitrophic bioanalytical battery to assess the (geno)toxicity of freshwater sediments. In addition, integrative tools with specific microbiotests were respectively constructed to determine the toxic potential of industrial effluents (PEEP: Potential Ecotoxic Effects Probe) and that of sediments (SED-TOX). Such examples illustrate the diversity of on-going endeavors in the field of small-scale toxicity testing internationally, as further corroborated by recent books entirely dedicated to the subject. It is undeniable that many important challenges still lie ahead for this field early into the third millennium and likely well beyond.